Provider Demographics
NPI:1558131409
Name:WEINFELD, ALEXANDRA KATE (LPCMH, ATR-BC, RYT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:KATE
Last Name:WEINFELD
Suffix:
Gender:F
Credentials:LPCMH, ATR-BC, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 LIGHTHORSE LN
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-3357
Mailing Address - Country:US
Mailing Address - Phone:302-290-2969
Mailing Address - Fax:
Practice Address - Street 1:1108 LIGHTHORSE LN
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-3357
Practice Address - Country:US
Practice Address - Phone:302-290-2969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0011529101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health